{"id":126,"date":"2015-12-06T22:48:08","date_gmt":"2015-12-06T22:48:08","guid":{"rendered":"http:\/\/brooksidepress.org\/surgery\/?page_id=126"},"modified":"2023-08-20T20:41:45","modified_gmt":"2023-08-20T20:41:45","slug":"lesson-2-self-test","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/surgery\/?page_id=126","title":{"rendered":"Lesson 2: Self-Test"},"content":{"rendered":"

INSTRUCTIONS. The following questions\u00a0are to be answered by writing the answer in\u00a0the space provided or by matching terms as directed.<\/p>\n

After you have completed all the\u00a0questions, scroll to the bottom of the page\u00a0and\u00a0check your answers.<\/p>\n

1. How many square feet of skin cover the body of the average male? __________<\/p>\n

2. About _________ of all blood that circulates through the body goes to the skin.<\/p>\n

3. List the three layers of skin.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

4. A change in the normal appearance of an individual’s skin could indicate an\u00a0abnormality or ___________________________________________.<\/p>\n

5. How many layers of epidermis are on the palms of the hands and the soles of the\u00a0feet? _________________<\/p>\n

6. List four body parts contained in the second layer of skin.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

d. ___________________________________________.<\/p>\n

7. Which layer of skin gives the skin its elasticity? _____________________.<\/p>\n

8. List three functions of the subcutaneous layer of skin.<\/p>\n

a. ___________________________________________<\/p>\n

b. ___________________________________________<\/p>\n

c. ___________________________________________<\/p>\n

9. A wound is _______________________________________________________<\/p>\n

________________________________________________________________<\/p>\n

10. List four types of wounds.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

d. ___________________________________________.<\/p>\n

11. A ________________________ is a torn, jagged cut which has gone through the\u00a0skin tissue and the blood vessels.<\/p>\n

12. What is the body’s first response to cell damage (in other words, a wound)?<\/p>\n

________________________________________________________________<\/p>\n

________________________________________________________________<\/p>\n

13. What causes a wound abscess? __________________________________________________________________________<\/p>\n

14. List two possible complications of wound healing.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

15. What is a keloid? __________________________________________________<\/p>\n

16. Why does dead tissue around a wound slow the healing process?<\/p>\n

________________________________________________________________<\/p>\n

________________________________________________________________<\/p>\n

17. List four factors which influence the body’s ability to grow new tissue; in other\u00a0words, to heal a wound.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

d. ___________________________________________.<\/p>\n

18. List the three stages of wound healing.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

19. A variety of needles is used in wound closure. Answer the following questions\u00a0about such needles.<\/p>\n

a. What are two types of needles?<\/p>\n

(1) ___________________________________________.<\/p>\n

(2) ___________________________________________.<\/p>\n

b. List the two grades of needles and their use.<\/p>\n

(1) ___________________________________________.<\/p>\n

(2) ___________________________________________.<\/p>\n

c. Uses of different sized needles.<\/p>\n

(1) What are smaller needles used for?<\/p>\n

_________________________________________.<\/p>\n

(2) What are larger needles used for?<\/p>\n

__________________________________________<\/p>\n

20. List the three major types of suture materials.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

21. Answer the following questions.<\/p>\n

a. On what part of the body should silk sutures be used? ______________________________________________________________<\/p>\n

b. List one advantage and one disadvantage of using metal sutures.<\/p>\n

(1) Advantage = ______________________________________________<\/p>\n

(2) Disadvantage = ___________________________________________.<\/p>\n

c. Synthetic absorbable sutures have many advantages; list one. List one\u00a0disadvantage of these sutures.<\/p>\n

(1) Advantage = ______________________________________________<\/p>\n

(2) Disadvantage = ____________________________________________<\/p>\n

d. List one advantage and one disadvantage of using skin tapes.<\/p>\n

(1) Advantage = _______________________________________________<\/p>\n

(2) Disadvantage = ____________________________________________<\/p>\n

22. Complete the statements about categories of wound closure.<\/p>\n

a. Wound closure by primary intent is _______________________________________________________________________<\/p>\n

b. Allowing the wound to granulate on its own without surgical repair is the\u00a0definition of _____________________________________.<\/p>\n

c. Cleaning and dressing the wound with the patient returning for wound closure\u00a0in three or four days is the definition of _______________________________<\/p>\n

23. List the two steps in debridement and excision of a wound.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

24. Why is it necessary to trim the irregularities from the edge of a wound<\/p>\n

________________________________________________________________<\/p>\n

________________________________________________________________<\/p>\n

25. List two reasons why necrotic tissue (dead tissue) around a wound should be\u00a0excised.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

26. A general principle of suturing is that the base of the suture loop configuration\u00a0should be _________________________ the top of the suture loop.(how wide)<\/p>\n

27. List four general principles of suture removal.<\/p>\n

a. ___________________________________________.<\/p>\n

b. ___________________________________________.<\/p>\n

c. ___________________________________________.<\/p>\n

d. ___________________________________________.<\/p>\n

28. Match the definitions with the correct term by writing the letter of the definition\u00a0next to the correct term.<\/p>\n\n\n\n\n
TERM<\/th>\nDefinition<\/th>\n<\/tr>\n
____ a. Sheer laceration<\/p>\n

____ b. Combined laceration.<\/p>\n

____ c. Tension laceration<\/p>\n

____ d. Compression laceration<\/td>\n

W. Laceration caused by skin striking a\u00a0flat surface.<\/p>\n

X. Laceration caused by skin being\u00a0caught\u00a0between the bone and an\u00a0external surface.<\/p>\n

Y. Characteristics of sheer and compression\u00a0lacerations.<\/p>\n

Z. A laceration made by a sharp object such as a\u00a0knife.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

29. Match the definitions with the correct term by writing the letter of the definition\u00a0next to the correct term.<\/p>\n\n\n\n\n
TERM<\/th>\nDEFINITION<\/th>\n<\/tr>\n
____ a. Cellulitis.<\/p>\n

____ b. Empyema.<\/p>\n

____ c. Abscess.<\/p>\n

____ d. Fistula.<\/td>\n

W. Pus collecting in an already existing\u00a0body cavity.<\/p>\n

X. Localized infection in which there is an\u00a0accumulation of pus.<\/p>\n

Y. Abnormal passage between two internal\u00a0organs.<\/p>\n

Z. Inflammation of the deep subcutaneous tissue.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

30. In the process of maturation of wound healing, there are three stages. Write the\u00a0letter of the appropriate description next to the appropriate stage.<\/p>\n\n\n\n\n
STAGE<\/td>\nCHARACTERISTICS<\/td>\n<\/tr>\n
____ a. Stage I.<\/p>\n

____ b. Stage II.<\/p>\n

____ c. Stage III.<\/td>\n

X. Scar is red, hard, thick, and strong.<\/p>\n

Y. Scar is soft, supple, white, and loose.<\/p>\n

Z. Scar is soft, fine, and weak.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

31. Match the suturing technique in the first column with the advantage of the\u00a0technique in the second column. Write the appropriate letter from the second\u00a0column in the space provided next to the letter in the first column.<\/p>\n\n\n\n\n
COLUMN I SUTURING TECHNIQUE<\/td>\nCOLUMN II ADVANTAGE OF TECHNIQUE<\/td>\n<\/tr>\n
____ a. Vertical mattress suture<\/p>\n

____ b. Subcuticular suture<\/p>\n

____ c. Horizontal mattress suture<\/p>\n

____ d. Running suture<\/p>\n

____ e. Locked running suture<\/td>\n

V. Fast to insert; easy to remove.<\/p>\n

W. Useful in situations where wound edges\u00a0have to be pulled together under tension\u00a0to control bleeding.<\/p>\n

X. Useful in areas where the wound edges\u00a0tend to invert.<\/p>\n

Y. One suture can take the place of two\u00a0ties.<\/p>\n

Z. Avoids suture marks; best suited for\u00a0straight lacerations.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\n

Answers to Lesson 2: Self-Test<\/p>\n

1. 16.2 square feet. (para 2-2a)<\/p>\n

2. One-third. (para 2-2a)<\/p>\n

3. Epidermis layer.<\/p>\n

Dermis layer.<\/p>\n

Subcutaneous layer. (para 2-2c)<\/p>\n

4. A disease of body function. (para 2-2b)<\/p>\n

5. 5 layers of epidermis. (para 2-2c(1))<\/p>\n

6. You are correct if you listed any four of the following:<\/p>\n

Blood vessels.<\/p>\n

Nerves.<\/p>\n

Lymph vessels.<\/p>\n

Hair follicles.<\/p>\n

Sweat glands.<\/p>\n

Sensory receptors. (para 2-2c(2))<\/p>\n

7. The dermis layer (the second layer). (para 2-2c(2))<\/p>\n

8. You are correct if you listed any three of the following:<\/p>\n

Storehouse for water.<\/p>\n

Storehouse for fat.<\/p>\n

Insulation function, protecting the body from heat loss.<\/p>\n

Pads the body from blows.<\/p>\n

Pathway for nerves.<\/p>\n

Pathway for blood vessels. (para 2-2c(3))<\/p>\n

9. A wound is a break in the continuity of the skin. (para 2-3)<\/p>\n

10. Abrasions.<\/p>\n

Punctures.<\/p>\n

Perforations.<\/p>\n

Lacerations. (para 2-3)<\/p>\n

11. Laceration. (para 2-3)<\/p>\n

12. The body’s first response is inflammation. Blood rushes to the site and the area\u00a0feels warm to the touch. (para 2-4a)<\/p>\n

13. An abscess is caused by an infecting organism. (para 2-4d(3))<\/p>\n

14. You are correct if you listed any two of the following:\u00a0Infection.<\/p>\n

Continued bleeding.<\/p>\n

Dying tissue.<\/p>\n

Improper healing. para 2-4d(1) through (3))<\/p>\n

15. A keloid is excessive scar tissue. (para 2-4d(3))<\/p>\n

16. Dead tissue restricts blood circulation to a wound area, thus interfering with\u00a0healing. (para 2-4d(4))<\/p>\n

17. You are correct if you listed any four of the following:<\/p>\n

Age.<\/p>\n

Malnutrition.<\/p>\n

Obesity.<\/p>\n

Abnormalities in endocrine function.<\/p>\n

Hormone production.<\/p>\n

Carbohydrate metabolism. (para 2-4e(1) through (4))<\/p>\n

18. Inflammation.<\/p>\n

Repair.<\/p>\n

Maturation. (para 2-4)<\/p>\n

19. a. (1) Straight needles.<\/p>\n

(2) Curved needles. (para 2-5b(1))<\/p>\n

b. (1) Cuticular needle – for use on the skin.<\/p>\n

(2) Plastic needle–a sharper needle, used for plastic surgery.\u00a0(para 2-5b(3))<\/p>\n

c. (1) Fine repair such as treating facial lacerations.<\/p>\n

(2) Taking bigger bites of tissue such as scalp lacerations.\u00a0(para 2-5b(4)<\/p>\n

20. Nonabsorbable sutures.<\/p>\n

Metal sutures.<\/p>\n

Absorbable sutures. (para 2-5c(2) through (5))<\/p>\n

21. a. Use silk sutures on uncontaminated wounds such as wounds of the face.\u00a0(para 2-5c(2))<\/p>\n

b. You are correct if you chose any one of the following advantages of metal\u00a0sutures and any one of the following disadvantages of metal sutures.<\/p>\n

Advantages of metal sutures:<\/p>\n

Quick to use.<\/p>\n

Easy to use, if experienced.<\/p>\n

Wound healing results the same as for other suture types.<\/p>\n

Disadvantages of metal sutures:<\/p>\n

Hard to use if inexperienced.<\/p>\n

. Sutures can be irritating to the patient. (para 2-5c(3))<\/p>\n

c. You are correct if you chose any one of the following advantages of synthetic\u00a0absorbable sutures and any one of the following disadvantages of synthetic\u00a0absorbable sutures.<\/p>\n

Advantages of synthetic, absorbable sutures<\/p>\n

Retains tensile strength for 60 days or more.<\/p>\n

Low tissue reaction to this suture; therefore, less pus infection.<\/p>\n

Disadvantages of synthetic, absorbable sutures<\/p>\n

Suture does not glide through skin easily.<\/p>\n

Difficult to tie knot. (para 2-5c(4)(c))<\/p>\n

d. You are correct if you chose any one of the following advantages of skin tapes\u00a0and any one of the following disadvantages of skin tapes.<\/p>\n

Advantages of skin tapes<\/p>\n

Low incidence of infection.<\/p>\n

No suture marks.<\/p>\n

Patient does not have to come back to have sutures removed.<\/p>\n

Disadvantage of skin tapes<\/p>\n

Not practical in body areas that get wet or have motion.<\/p>\n

Not practical for young children who tend to pull off tapes.<\/p>\n

Tape edges sometimes curl up after the skin tapes have been applied.\u00a0(para 2-5c(5))<\/p>\n

22. a. Wound repair without delay after the injury has occurred. (para 2-6a(1))<\/p>\n

b. Wound closure by secondary intent. (para 2-6a(2))<\/p>\n

c. Wound closure by tertiary intent. (para 2-6a(3))<\/p>\n

23. Irrigate the wound.<\/p>\n

Remove the foreign material. (para 2-6b(1))<\/p>\n

24. Trim irregularities from the edge of a wound to improve the final appearance of the\u00a0healed wound. (para 2-6b(2))<\/p>\n

25. a. To prevent infection.<\/p>\n

b. To prevent abscess. (para 2-6b(4))<\/p>\n

26. As wide or wider than. (para 2-6c(3))<\/p>\n

27. You are correct if you listed any four of the following:<\/p>\n

Use sterile forceps or hemostats.<\/p>\n

Use proper suture scissors.<\/p>\n

Cut the suture at skin level.<\/p>\n

Do not pull a contaminated suture through the suture route.<\/p>\n

Pull the suture up and towards the wound at a 45-degree angle.<\/p>\n

Pull the suture gently and smoothly.<\/p>\n

Support the suture at the suture exit point. (para 2-8b)<\/p>\n

28. a Z<\/p>\n

b Y<\/p>\n

c W<\/p>\n

d X (paras 2-3a through d)<\/p>\n

29. a Z<\/p>\n

b W<\/p>\n

c X<\/p>\n

d Y (para 2-4d(3))<\/p>\n

30. a Z<\/p>\n

b X<\/p>\n

c Y (para 2-4c)<\/p>\n

31. a X<\/p>\n

b Z<\/p>\n

c Y<\/p>\n

d V<\/p>\n

e W (paras 2-7a through e)<\/p>\n","protected":false},"excerpt":{"rendered":"

INSTRUCTIONS. The following questions\u00a0are to be answered by writing the answer in\u00a0the space provided or by matching terms as directed. After you have completed all the\u00a0questions, scroll to the bottom of the page\u00a0and\u00a0check your answers. 1. How many square feet of skin cover the body of the average male? __________ 2. About _________ of all … Continue reading Lesson 2: Self-Test<\/span> →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":12,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-126","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=126"}],"version-history":[{"count":3,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/126\/revisions"}],"predecessor-version":[{"id":346,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/126\/revisions\/346"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=\/wp\/v2\/pages\/12"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/surgery\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}